Opinion Review
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Oct 16, 2021; 13(10): 451-459
Published online Oct 16, 2021. doi: 10.4253/wjge.v13.i10.451
Proposal of the term “gallstone cholangiopancreatitis” to specify gallstone pancreatitis that needs urgent endoscopic retrograde cholangiopancreatography
Masatoshi Isogai
Masatoshi Isogai, Department of Surgery, Nawa Hospital, Ogaki 503-0852, Gifu, Japan
Author contributions: Isogai M conceived the idea for the manuscript, reviewed the literature, drafted the manuscript, and approved the final version of the article.
Conflict-of-interest statement: There is no conflicts of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Masatoshi Isogai, MD, Doctor, Surgeon, Department of Surgery, Nawa Hospital, 6-50, Fujie-cho, Ogaki 503-0852, Gifu, Japan. masatoshi.isogai@gmail.com
Received: April 4, 2021
Peer-review started: April 4, 2021
First decision: June 24, 2021
Revised: July 4, 2021
Accepted: July 29, 2021
Article in press: July 29, 2021
Published online: October 16, 2021
Core Tip

Core Tip: The term “gallstone cholangiopancreatitis” is suggested to specify gallstone acute pancreatitis complicated by life-threatening acute cholangitis due to persistent ampullary stone impaction and needs urgent endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy. The term “gallstone cholangiopancreatitis” incorporates the terms “cholangitis” and “gallstone pancreatitis.” “Cholangitis” refers to acute cholangitis due to cholangiovenous reflux through the foci of extensive hepatocyte necrosis reflexed by marked elevation in transaminase levels caused by persistent ampullary obstruction. “Gallstone pancreatitis” refers to elevated pancreatic enzyme levels consequent to pancreatic duct obstruction, the pancreatic lesion that is characterized by minimal or mild inflammation.